| NPI | 1497073746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO2841) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT013631) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2019-02-20 |